Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $111.72 / $364.04 / $924.32	Facility		$111.72	$364.04	$924.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.39 / $105.04 / $407.00	Professional		$58.39	$105.04	$407.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $147.69 / $525.33 / $882.45	Facility		$147.69	$525.33	$882.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.61 / $99.35 / $157.11	Professional		$59.61	$99.35	$157.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.69 / $104.50 / $182.02	Professional		$61.69	$104.50	$182.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.37 / $96.85 / $172.80	Professional		$19.37	$96.85	$172.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $74.05 / $146.94 / $210.68	Facility		$74.05	$146.94	$210.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $64.94 / $114.65 / $203.19	Professional		$64.94	$114.65	$203.19
United Facility/Professional Facility Modifier Low / Median / High Price $230.00 / $1,158.00 / $1,401.00	Facility		$230.00	$1,158.00	$1,401.00
United Facility/Professional Professional Modifier Low / Median / High Price $154.16 / $186.95 / $236.26	Professional		$154.16	$186.95	$236.26